Richard Jay Reisboard
NPI #1922268671 in Ardmore, Pennsylvania
Provider Information
- NPI Number
- 1922268671
- Entity Type
- Individual
- Name
- Richard Jay Reisboard
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist
- Enumeration Date
- Jun 16, 2008
- Last Updated
- Jun 16, 2008
Practice Location
- Address
- 119 COULTER AVE
- Address 2
- SUITE 101
- City
- Ardmore
- State
- Pennsylvania
- ZIP Code
- 19003-2427
- Phone
- (215) 896-8666
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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